Deleterious alleles can reach high frequency in small populations because of random fluctuations in allele frequency. This may lead, over time, to reduced average fitness. In this sense, selection is more "effective" in larger populations. Recent studies have considered whether the different demographic histories across human populations have resulted in differences in the number, distribution, and severity of deleterious variants, leading to an animated debate. This article first seeks to clarify some terms of the debate by identifying differences in definitions and assumptions used in recent studies. We argue that variants of Morton, Crow, and Muller's "total mutational damage" provide the soundest and most practical basis for such comparisons. Using simulations, analytical calculations, and 1000 Genomes Project data, we provide an intuitive and quantitative explanation for the observed similarity in genetic load across populations. We show that recent demography has likely modulated the effect of selection and still affects it, but the net result of the accumulated differences is small. Direct observation of differential efficacy of selection for specific allele classes is nevertheless possible with contemporary data sets. By contrast, identifying average genome-wide differences in the efficacy of selection across populations will require many modeling assumptions and is unlikely to provide much biological insight about human populations.KEYWORDS genetic drift; genetic load; human genetics; purging; selection O NE of the best-known predictions of population genetics is that smaller populations harbor less diversity at any one time but accumulate a higher number of deleterious variants over time (Kimura et al. 1963). Considerable subsequent theoretical effort has been devoted to the study of fitness differences at equilibrium in populations of different sizes (e.g., Glémin 2003) and in subdivided populations (e.g., Whitlock 2002;Roze and Rousset 2003). The reduction in diversity has been observed in human populations that have undergone strong population bottlenecks. For example, heterozygosity decreased in populations that left Africa and further decreased with successive founder events (Tishkoff et al. 1996;Ramachandran et al. 2005; 1000 Genomes Project Consortium 2012Casals et al. 2013). The effect of demography on the accumulation of deleterious variation has been more elusive in both humans and nonhuman species. In conservation genetics, where fitness can be measured directly and effective population sizes are small, a modest correlation between population size and fitness was observed (Reed and Frankham 2003). In humans, the first estimates of the fitness cost of deleterious mutations were obtained through the analysis of census data (Crow 1958), but recent studies have focused on bioinformatic prediction using genomic data (Davydov et al. 2010;Adzhubei et al. 2013). Lohmueller et al. (2008) found that sites that were variable among Europeans were more likely to be deleterious than sites that w...